SEK&Co, Strickler Agency and Capital Blue Cross Presented a Seminar on Affordable Care Act Compliance Issues for Employers and Individuals. Concerned about implementing Obamacare, the Affordable Care Act, at your business. This slide deck can help you understand some of the key issues for 2013, 2014 and beyond. This deck also includes information on penalties for non-compliance.
3. Producer Consulting = Human Capital
Management
Surround Yourself w. Knowledgeable Partners
& Trusted Advisors
Team Approach
Back Office Support w. Extension(s) of your
HR Team
Efficient Tracking Tools & Resources
Can no longer visit your health plan annually
4. HIM Notices disbursed by 10-1-2013
Early Renewal Option(s)
Exchanges (SHOP as well) Open October 1st
SBC’s (updates as of 1-1-2014)
PCORI Fees
90 Day Max Waiting Period
Cobra Notices/Audits
OOP Max Limits/Limited Benefit Designs
=$2000/$4000 Small Group Deductible Max.
=$$6350/$12,7000 Large Group OOP Max.
Adjusted Community Rating (ACR)
Individual Mandate
5.
6. “Itemized Billing” – Small Groups
-Composite vs. Non-Composite Rates
Employer Mandate/Employer Shared
Responsibility
30 hrs./week max. eligibility std.
Employer Reporting to IRS & HHS (Section
6056 under IRS) & Annual EE Statements
W-2 reporting for all size groups
Transitional Re-Insurance Fees (ASO)
7.
8. Wellness Enhancements
1)Activity Only (participation only)
2)Outcomes Based (ex. Maintain weight)
3)Rewards to not to exceed 30% of total
cost, 50% for tobacco usage control
Small Employer Tax Credit (SHOP)
Automatic Enrollment for Large Groups (200+
Full Time) in 2015
Tiered Networks & Possible Provider Fall-Out